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� .�. � <br />�`� lveretl <br />� APPI.ICATION FOR RIGHT-OF—WAY USE PERMIT <br />Type or pnnt cleady with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS - <br />EVERETT, WASHINGTON PERMIT NO. L'�', �l� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTE�, IF ANY: <br />HEREBY APPLIES fOP PERMISSION TO <br />AT THE FOLLOWING LOCATION S'�L O %� Q v i F` r I�Il�` y <br />7 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: ��— G����� <br />� <br />� R/`� / , , <br />.�i�j"�,vry—„ it f��G rr: i.? .It-c �-P�j�- �,!rCJ�'�.�-,� �� u�. (. �c� <br />cr o v <br />, <br />/., : j.�i"-� a``j� 4t-t,�� (--�:,�.�Q ��, �r.F;,.N . <br />1� <br />� <br />�� �� <br />� <br />� <br />° � , � �� <br />� <br />( <br />PERMIT IS VALID 1=0R 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2'.f9-d91 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEN <br />DRAINAGE <br />WRTEH <br />STREET ' <br />G] �l� CiPI �\ irl\»:L�P/1�" <br />COMMUNICALIONS <br />DRIVEWAY SECTION <br />I'� LIP <br />L30" T r 30" <br />r <br />T�e unGersigne0 owner �ere�y ayrees lo holE enE seve �armless <br />t�e Ci1y ol Evcreu Irom eny anC ell cleims lor Eemages, costs. <br />eepenses, or ceuses ol atlion ihat may ense Cecause ;-I inslallalion <br />ar�0 mainlenanc� ol Ihe improvement or ol�er righiroLway use <br />nerelo applreA Ior anA lunner agrees to remove samt uoon nohce <br />Imm t�e City anE to replace publ¢ prope�lY 4emBgeO �herCby. <br />TRAfiIC <br />. /�Q t� /L(AJ <br />PLANNING SiGNPiUAE Of �PPLI . <br />ISo2 Gon� �-�e�n� � R �� <br />%—/� `� 0 <br />on*E <br />CONSTRUCTION/AS I3UILT <br />�%�N�i1�TPU �n111 /p277 <br />3s� a63s ���z- �roo c� ;o <br />iELEPNONE NIIbIpER qtTERNPLE <br />G� 2— 8"� <br />• <br />